Item #: 398021 | Model #: A1350
ComplyRight HIPAA Patient Consent and Authorization Form
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ComplyRight HIPAA Patient Consent and Authorization Form

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$41.39
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Product Details
  • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
  • Complies with HIPAA’s authorization requirements
  • Size: 8 1/2" x 11"
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41.39
41.39
https://www.staples-3p.com/s7/is/image/Staples/s0456533
00015171249721
ComplyRight
ComplyRight HIPAA Patient Consent and Authorization Form
Product Description
ComplyRight Patient consent and authorization form measures 8 1/2" x 11".

ComplyRight Patient consent and authorization form is attorney approved form acknowledging patient's information to be released to an authorized third party. Form measures 8 1/2" x 11".

  • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
  • Complies with HIPAA’s authorization requirements
  • Size: 8 1/2" x 11"
  • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
  • Complies with HIPAAs authorization requirements
Specifications
HR Form Type Consent
HR Form Pack Size 200
Width in Inches 8.5
Number of Parts 1
True Color White
Pack Qty 1
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